<div id="single">
        	<div class="nav_tengah">Pemilihan Divisi Member Amcc</div> 
            <div class="single_page">
            
            <form class="form-horizontal" method="post" action="<?php echo base_url();?>web/insertPilihDivisi">
              <div class="control-group">
                <label class="control-label" for="inputEmail">Nim <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="" name="nim"><?php echo form_error('nim', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Nama <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="" name="nama"><?php echo form_error('nama', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">NO Handphone <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="" name="hp"><?php echo form_error('hp', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Kelas <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="12-S1SI-03" name="kelas"><?php echo form_error('kelas', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Jurusan <font style="color:red;">*</font></label>
                <div class="controls">
                  <select name="jurusan"><option value=""></option>
                  	<option value="D3-MI">D3 - Manajemen Informatika</option>
                    <option value="D3-TI">D3 - Teknik Informatika</option>
                    <option value="S1-SI">S1 - Sistem Informasi</option>
                    <option value="S1-TI">S1 - Teknik Informatika</option>
                  </select>
				  <?php echo form_error('jurusan', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Asal Sekolah <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="" name="sekolah"><?php echo form_error('sekolah', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Jurusan <font style="color:red;">*</font></label>
                <div class="controls">
                  <input type="text" placeholder="" name="jur_sekolah">
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Divisi Pilihan</label>
                <div class="controls">
                  <select name="divisi"><option value=""></option>
                  <?php foreach($divisi as $d):?>
                  	<option value="<?php echo $d['id_divisi'];?>"><?php echo $d['divisi'];?></option>
                  <?php endforeach;?>
                  </select>
                  <?php echo form_error('divisi', '<p class="label label-warning span4 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Laptop</label>
                <div class="controls">
                	<label class="checkbox inline">
                  		<input type="radio" placeholder="" name="laptop" value="T">&nbsp;Punya 
                    </label>
                    <label class="checkbox inline">
                  		<input type="radio" placeholder="" name="laptop" value="Y">&nbsp;Tidak
                    </label>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Materi yang sudah anda ketahui tentang divisi pilihan</label>
                <div class="controls">
                  <textarea name="materi" rows="5" class="span4"></textarea>
                </div>
              </div>
              <div class="control-group">
                <label class="control-label" for="inputPassword">Apa yang diharapkan di AMCC ? <font style="color:red;">*</font></label>
                <div class="controls">
                  <textarea name="harapan" rows="5" class="span4"></textarea><?php echo form_error('harapan', '<p class="label label-warning span3 pull-right">', '</p>'); ?>
                </div>
              </div>
              <div class="control-group">
                <div class="controls">
                  <input type="submit" class="btn btn-success" value="Kirim" />
                  <input type="reset" class="btn btn-warning" value="Reset Data" />
                </div>
              </div>
            </form>	
            </div>
        </div>